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Agenda
Reg Review
ICR
View Information Collection (IC)
View Information Collection (IC)
IC Title:
Pandemics, Natural Disasters, and other Interruption of Service Events: Contingency Planning Considerations for Mycobacteriology Testing
Agency IC Tracking Number:
0920-0879-21DT
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form and Instruction
0920-0879
Online Instrument
DTBE LB COOP Project Att B_Instrument_Word Version.docx
Yes
Yes
Fillable Fileable
Form and Instruction
0920-0879
Focus Group Instrument
DTBE LB COOP Project Att D_Focus Group Virtual Platform Discussions Script.docx
Yes
No
Fillable Fileable
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Public Health Monitoring
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
116
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
100 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
116
0
116
0
0
0
Annual IC Time Burden (Hours)
126
0
126
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CoAg PHLs
DTBE LB COOP Project Att A_CoAg PHLs and Mycobacteriology Supervisors.docx
03/11/2021
Online Instrument Web Version
DTBE LB COOP Project Att C_Instrument_Web Shots.docx
03/11/2021
Online Notification Email
DTBE LB COOP Project Att E_Notification Email.docx
03/11/2021
Online Reminder Email
DTBE LB COOP Project Att F_Reminder Email.docx
03/11/2021
Focus Group Invitation Email
DTBE LB COOP Project Att G_Focus Group Invite Email.docx
03/11/2021
Focus Group Reminder Email
DTBE LB COOP Project Att H_Reminder Email for Focus Group.docx
03/11/2021
SSA
DTBE LB COOP Project SSA.docx
03/11/2021
SSB
DTBE LB COOP Project SSB.docx
03/11/2021
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.